title: [A case of severe obese patient complicated with type-2 diabetes--transition from Very Low Calorie Diet(VLCD) therapy to Low Calorie Diet(LCD)therapy].
abstract: A 6 0-year-old woman with severe obese and type-2 diabetes was hospitalized due to poorly controlled glycemia by worsening osteoarthritis of both knees. Although a diet therapy(1,200 kcal/day)was initially offered, but the body weight did not decrease. Thus, we changed VLCD therapy to LCD therapy sequentially. The weight loss made her possible not only to walk with a walker but it also improved a glycemic control. Because it was thought to be necessary to reduce her economic burden in order to continue the LCD therapy after was discharged, an inexpensive LCD menu was devised based on meal and auxiliary nutrients including trace elements. To support the LCD therapy at home, it is important to propose a simple and sustainable approach with a consideration of economic aspects as well as home environment.
authors.affiliation: Nutrition Support Team (NST),Minoh City Hospital.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Ibata
authors.forename: Akiko
authors.initials: A
authors.lastname: Hata
authors.forename: Keiji
authors.initials: K
authors.lastname: Shinoki
authors.forename: Ritsuko
authors.initials: R
authors.lastname: Nishijima
authors.forename: Saori
authors.initials: S
authors.lastname: Mito
authors.forename: Seiko
authors.initials: S
authors.lastname: Doi
authors.forename: Chisako
authors.initials: C
authors.lastname: Nakashita
authors.forename: Ryutaro
authors.initials: R
authors.lastname: Komuro
authors.forename: Shohei
authors.initials: S
authors.lastname: Iijima
mesh_terms: D031204:Caloric Restriction; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000178:diet therapy*; D003927:Diet, Diabetic; D005260:Female; D006801:Humans; D008875:Middle Aged; D009765:Obesity / Q000150:complications / Q000178:diet therapy*